Kristina Pickett, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0002863 Issued in CO

Practice address

1665 Coal Creek Dr
Lafayette, CO 80026-2784

Phone

(303) 926-6434

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Developmental Disabilities Center

  • Case Management Agency
  • Lafayette, CO
  • NPI 1164052841
  NPD (past)
• Developmental Disabilities Center

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, CO
  • NPI 1831236009
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2017.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1982117560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 COAL CREEK DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262784",
            "telephone_number": "303-926-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 COAL CREEK DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262784",
            "telephone_number": "303-926-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "KRISTINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12157125",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky A Phillips
• Racheal A Philman, NP
• Barbara A Piasecki, MD
• Susan P Picard Willis, RN
• Kate Alissa Hager Pickett, RN
• Elizabeth Jane Pickreign, MA, LPC
• Savannah J Pierce
• Ashley Elizabeth Pierson, M.D.
• Julia Audrey Pisc
• Sharon T Pittenger, M.D.

• All providers in Lafayette, CO
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.